Libby Pauley
Individual provider Active NPI Community Health Worker · Sumerco, WV
NPI 1104419183 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1104419183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 50 Hunters PT
Sumerco, WV 25567-9799 - Phone
- (304) 382-5044
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
50 Hunters PT
Sumerco, WV 25567-9799
Mailing address
50 Hunters PT
Sumerco, WV 25567-9799
Phone (304) 382-5044
Other providers in Sumerco, WV
- Ashley Biskup
- Nancy B Gillispie
- Cambria Mitchell
- Brandy Angel Morris
- Dwanna Denise Pauley
- Julia Ann Redman
- Karen Seabolt
- Teaghan Smith
- Rose Wiblen
All providers in Sumerco, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.